MEDICARE: YULIET MORA AMADOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	P3934	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8DZ659	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285981290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YULIET MORA AMADOR MD

Provider Business Mailing Address
First Line	:	3420 WOODRIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-3735
Country	:	US
Telephone Number	:	713-923-2273
Fax Number	:	713-923-2276

Provider Business Practice Location Address
First Line	:	3420 WOODRIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-3735
Country	:	US
Telephone Number	:	713-923-2273
Fax Number	:	713-923-2276

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2012
Last Update Date	:	09/26/2023

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